Individual provider Active NPI

Yuna Kim, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1457688087
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C015074 Issued in NC
Practice address
300 W Earp St Ste K
Holly Springs, NC 27540-8763
Phone
(609) 759-0423
Fax
(609) 710-1805
NPI assigned
Nov 3, 2009
Reactivated
Jan 5, 2017
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05289900 NJ
Clinical Social Worker 1041C0700X 093995-01 NY
Clinical Social Worker 1041C0700X C015074 NC Primary

Addresses

Primary practice location

300 W Earp St Ste K
Holly Springs, NC 27540-8763

Mailing address

300 W Earp St Ste K
Holly Springs, NC 27540-8763
Phone (609) 759-0423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725000793 NC Practitioner - Clinical Social Worker 0840575288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

300 W Earp St
Suite K
Holly Springs, NC 27540-8763
Phone (609) 759-0423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015074NCMDClinical Social Worker
44SC05289900NJMDClinical Social Worker
093995-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yunakim@tdh.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1457688087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W EARP ST STE K",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408763",
            "telephone_number": "609-759-0423",
            "fax_number": "609-710-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W EARP ST STE K",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408763",
            "telephone_number": "609-759-0423",
            "fax_number": "609-710-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YUNA",
        "credential": "M.S.W., L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "deactivation_date": "2010-09-21",
        "reactivation_date": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05289900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093995-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.